Tuesday, August 21, 2012

Sincalide


Generic Name: sincalide (SIN ka lide)

Brand Names: Kinevac


What is sincalide?

Sincalide is a diagnostic agent that works by stimulating processes in specific organs of the body. Sincalide is injected in preparation for certain medical tests.


Sincalide is used to help diagnose disorders of the gallbladder or pancreas. It is also used to speed up digestion of barium, a contrast agent, given in preparation for x-ray examination of the intestines.


Sincalide may also be used for purposes not listed in this medication guide.


What is the most important information I should know about sincalide?


You should not receive sincalide if you are allergic to it, or if you have a blockage in your intestines.

Before you receive sincalide, tell your doctor if you have gallstones.


Your medical test or x-ray will be performed shortly after sincalide is injected.


Receiving this medication late in pregnancy may result in a miscarriage or premature labor. Before you receive sincalide, tell your doctor if you are pregnant.

What should I discuss with my health care provider before receiving sincalide?


You should not receive sincalide if you are allergic to it, or if you have a blockage in your intestines.

Before you receive sincalide, tell your doctor if you have gallstones.


FDA pregnancy category B. Sincalide is not expected to harm an unborn baby during early pregnancy. However, receiving this medication late in pregnancy may result in a miscarriage or premature labor. Before you receive sincalide, tell your doctor if you are pregnant. It is not known whether sincalide passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How is sincalide given?


Sincalide is injected into a vein through an IV. You will receive this injection in a clinic or hospital setting.


Your medical test or x-ray will be performed shortly after sincalide is injected.


What happens if I miss a dose?


Since sincalide is given by a healthcare professional as part of a medical test, you are not likely to miss a dose.


What happens if I overdose?


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include nausea, vomiting, diarrhea, and stomach cramps.


What should I avoid before or after receiving sincalide?


Follow your doctor's instructions about any restrictions on food, beverages, or activity.


Sincalide side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Less serious side effects are more likely, such as:



  • stomach pain or discomfort;




  • nausea, vomiting, diarrhea;




  • headache;




  • feeling light-headed or short of breath;




  • sweating, flushing (warmth, redness, or tingly feeling);




  • sneezing; or




  • mild skin rash.



This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


Sincalide Dosing Information


Usual Adult Dose for Barium Meal Transit:

To accelerate the transit time of a barium meal through the small bowel, sincalide should be administered after the barium meal is beyond the proximal jejunum (sincalide, like cholecystokinin, may cause pyloric contraction). The recommended dose is 0.04 mcg per kg IV over a 30- to 60-second interval. If satisfactory transit of the barium meal has not occurred in 30 minutes, a second dose may be administered.

To reduce intestinal side effects, a 30-minute IV infusion 0.12 mcg per kg diluted to approximately 100 mL with sodium chloride may be administered.

Usual Adult Dose for Pancreatic Secretion:

To test pancreatic function: 0.25 units per kg IV over a 60-mlnute period.

Thirty minutes after the initiation of the infusion, a separate IV infusion at a total dose of 0.02 mcg per kg is administered over a 30-minute interval (for example, the total dose for a 70 kg patient is 1.4 mcg of sincalide; therefore, dilute 1.4 mL of reconstituted solution to 30 mL with sodium chloride Injection and administer at a rate of 1 mL per minute).

Usual Adult Dose for Gallbladder Contraction:

Initial dose: IV: 0.02 mcg/kg over 30 to 60 minutes

If satisfactory contraction of the gallbladder does not occur in 15 minutes, a second dose, 0.04 mcg/kg IV may be administered.

To reduce intestinal side effects, an intravenous infusion may be prepared at a dose of 0.12 mcg/kg in 100 mL of sodium chloride Injection and given at a rate of 2 mL per minute. Alternatively, an intramuscular dose of 0.1 mcg/kg may be given.

When sincalide is used in cholecystography, roentgenograms are usually taken at five-minute Intervals after the injection. For visualization of the cystic duct, it may be necessary to take roentgenograms at one-minute intervals during the first five minutes after the injection.


What other drugs will affect sincalide?


There may be other drugs that can interact with sincalide. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.



More sincalide resources


  • Sincalide Side Effects (in more detail)
  • Sincalide Dosage
  • Sincalide Use in Pregnancy & Breastfeeding
  • Sincalide Support Group
  • 0 Reviews for Sincalide - Add your own review/rating


  • sincalide Intravenous Advanced Consumer (Micromedex) - Includes Dosage Information

  • Kinevac Prescribing Information (FDA)



Compare sincalide with other medications


  • Barium Meal Transit
  • Gallbladder Contraction
  • Pancreatic Secretion


Where can I get more information?


  • Your doctor or pharmacist can provide more information about sincalide.

See also: sincalide side effects (in more detail)



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